Spruill, Cassandra E
Spruill, Cassandra E is an individual health care provider with primary practice located at 1235 E Cherokee St , Springfield MO 65804-2203. She recently has 4 registered licenses in different health care specialties including Physician Assistants & Advanced Practice Nursing Providers / Adult Health, Nursing Service Providers / Registered Nurse, Physician Assistants & Advanced Practice Nursing Providers / Family, Physician Assistants & Advanced Practice Nursing Providers / Nurse Practitioner. Physician Assistants & Advanced Practice Nursing Providers / Family is her primary health care specialty. Spruill, Cassandra E can be contacted via phone (417) 820-6569.Contact Information
Primary practice address
1235 E Cherokee St
Springfield MO 65804-2203
Phone: (417) 820-6569
Fax:
Website:
Health care specialties
Specialty | Code | License # | State |
---|---|---|---|
Physician Assistants & Advanced Practice Nursing Providers / Adult Health | 363LA2200X | 20736 | Tennessee |
Nursing Service Providers / Registered Nurse | 163W00000X | 835491 | Texas |
Physician Assistants & Advanced Practice Nursing Providers / Family | 363LF0000X | 2020010589 | Missouri |
Physician Assistants & Advanced Practice Nursing Providers / Nurse Practitioner | 363L00000X | 835491 | Texas |
Profile Details
NPI number | 1508019308 |
---|---|
LBN Legal business name | Spruill, Cassandra E |
Credentials | ARNP |
Entity | Individual |
Sole proprietor 1 | No |
Enumeration date | Oct 24th, 2008 |
Last updated | Feb 27th, 2024 - about 9 months ago |
1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.
Identifiers
State | Type | Number | Issuer |
---|---|---|---|
All States | NPI | 1508019308 | NPPES |
Texas | Other | 00106W | MDCR GRP PTAN |
Texas | Other | DB6392 | MDCR GRP PTAN |
Texas | Other | 153449704 | MDCR GRP PTAN |
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